Individual provider · Type 1 NPI

Telise Merica Millingen, MD

Family Medicine Physician · Jamaica, NY

NPI number 1508556747 Active

Practice location

8900 Van Wyck Expy
Jamaica, NY 11418-2897

Other practice locations

  • 7116 Ritchie Hwy, Glen Burnie, MD 21061-2904 · (443) 577-0277

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XD0107541 (MD)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1508556747

Telise Merica Millingen, MD's National Provider Identifier is 1508556747, issued on May 10, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jamaica, NY. The record was last updated on Aug 19, 2026.